Shohat I, Buchner A, Taicher S
Department of Oral and Maxillofacial Surgery, Chaim Sheba Medical Center, Tel-Hashomer, Israel
Int J Oral Maxillofac Surg. 2003 Dec;32(6):610-3. doi: 10.1054/ijom.2002.0431.
The mandibular buccal bifurcation cyst (MBBC) is a cystic lesion, which occurs on the buccal surface of the permanent mandibular first molar in children around 6-8 years old. Treatment of the cyst has been controversial: extraction of the involved tooth and enucleation of the cyst, or only enucleation, without extraction. The aim of this article is to familiarize oral and maxillofacial surgeons with this entity and the appropriate treatment approach. The diagnostic features of MBBC are described and the treatment approach in five patients with a total of seven cysts is presented. Two cases were identified in identical twins. Enucleation of the cyst without extraction of the involved tooth is the treatment of choice when the available data and experience in treating MBBC are considered.
下颌颊侧分叉囊肿（MBBC）是一种囊性病变，发生于6 - 8岁儿童恒牙下颌第一磨牙的颊面。该囊肿的治疗一直存在争议：是拔除患牙并摘除囊肿，还是仅摘除囊肿而不拔牙。本文旨在让口腔颌面外科医生熟悉这种疾病及其合适的治疗方法。描述了MBBC的诊断特征，并介绍了5例共7个囊肿患者的治疗方法。其中2例为同卵双胞胎。综合考虑现有治疗MBBC的数据和经验，囊肿摘除而不拔除患牙是首选的治疗方法。
